Administrative Page for
Blue Shield Employer Group Plans
Blue Shield Website forms & Applications
If any links require log in, just email us [email protected] and we will get you the form that you need.
|Easy steps to print or order your ID card (PDF, 349KB)|
|Online and mobile tools (PDF, 575KB)|
|Access to Care (PDF, 101KB)|
|2018 Group Administrator’s Guide A comprehensive guide for your clients that covers a range of information from a list of contacts to instructions for enrollment, payments and other processes.|
Click here for Current Sales and Enrollment Information.
- Compare/add/edit/delete subscribers and dependents to calculate quotes.
Employer Connection Plus – Video Library
PPO Treatment Cost Estimator
Member flier | Member step-by-step flier | Employer flier | FAQs
Quotit Enrollment, Applications & Misc. Forms
Scroll down the page to Blue Shield
Find EOC’s – Evidence of Coverage for Employee Distribution bscabook.com
eligibility support line at 800-303-5921
Producer Connection: For All Renewal Forms and Benefit Summaries. https://www.blueshieldca.com/producer
GROUP SERVICES: Confirm Member Enrollment and Terminations Phone – 800-325-5166, option 1 Producer’s Online Client List: https://www.blueshieldca.com/producer
SUBMITTING GROUP CHANGES/REQUEST FOR CHANGE FORMS: Fax – 209-367-6603 (please retain your fax confirmation) EMAIL:
SUBMITTING NEW EMPLOYEE APPLICATION & SUBSCRIBER/MEMBER CHANGES:
Fax – 209-367-6475
BILLING QUESTIONS? Phone – 800-325-5166
UNDERWRITING QUESTIONS/RECERTIFICATION STATUS: 888-834-4263
CLAIMS AND BENEFIT QUESTIONS:
PPO DMHC Plans – 800-200-3242
HMO/POS – 800-424-6521
PHARMACY/DRUG COVERAGE QUESTIONS? – 800-535-9481
Cal – COBRA: Phone – 800-228-9474.
Other Pages in the Blue Shield Section